SURGICAL TECHNIQUES : Ascending Aorta - 08/09/11

Doi : 10.1016/S0733-8651(05)70111-9

Duke E. Cameron, MD ^{^{*
Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, Maryland}}

Resumen

There is no disease more conducive to clinical humility than aneurysm of the aorta. SIR WILLIAM OSLER

There is no disease more conducive to clinical humility than aneurysm of the aorta.

SIR WILLIAM OSLER

Surgery of the ascending aorta has achieved remarkable success over the last 30 years. Aortic diseases that threaten catastrophic complications of rupture or dissection can now be treated with durable operations and low operative mortality.^{9 Detter C., Mair H., Klein H.G. , y al. Long-term prognosis of surgically-treated aortic aneurysms and dissections in patients with and without Marfan syndrome Euro J Cardio Thorac Surg 1998 ; 13 : 416 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 20 Lepore V., Larsson S., Bugge M. , y al. Replacement of the ascending aorta with composite valve grafts: Long-term results J Heart Valve Dis 1996 ; 5 : 240

Haga clic aquí para ir a la sección de Referencias} Success with prophylactic intervention for aneurysm has led to aggressive efforts to identify aortic disease before complications occur. Because ascending aortic disease is often silent until it affects the aortic valve or results in calamity, diagnosis is still challenging, as noted by Osler.

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Esquema

TERMS AND DEFINITIONS

ASCENDING AORTA REPLACEMENT

AORTIC ROOT REPLACEMENT

Composite Grafts

Homograft

Porcine Xenograft

Pulmonary Valve Autotransplant (Ross Procedure)

Valve-Sparing Aortic Root Replacement

COMPLEX PROBLEMS OF THE ASCENDING AORTA

Sinus of Valsalva Aneurysm and Fistula

Endocarditis

Severe Atherosclerotic Disease

SUMMARY

Address reprint requests to Duke E. Cameron, MD, Division of Cardiac Surgery, Blalock 618, The Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, e-mail: [email protected]